SIO-ASCO guideline on integrative medicine for cancer pain management: implications for racial and ethnic pain disparities.
SIO-ASCO guideline on integrative medicine for cancer pain management: implications for racial and ethnic pain disparities.
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SIO-ASCO癌症疼痛管理综合医学指南：对种族和种族疼痛差异的影响。
DOI：
10.1093/jncics/pkad042
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发表时间：
2023-07-03
影响因子：
4.4
通讯作者：
中科院分区：
文献类型：
--
作者：
疼痛管理中的种族和民族差异对公平的癌症护理提供构成了重大挑战。这些差异是由患者，提供者和系统相关因素之间的复杂相互作用驱动的，这些因素抵制简化的解决方案，需要创新的整体方法。2022年9月19日，综合肿瘤学会和美国临床肿瘤学会发布了一项联合指南，为癌症疼痛管理的中西医结合提供循证建议。中西医结合将传统治疗与来自世界各地文化和传统的互补模式相结合，具有独特的能力，能够与不同的癌症人群产生共鸣，并填补疼痛管理方面的现有空白。虽然一些补充方式，如音乐疗法和瑜伽，缺乏足够的证据来提出具体的建议，但其他方式，如针灸，按摩和催眠，表现出中等水平的证据，导致中等强度的建议，用于癌症疼痛管理。然而，有几个因素可能会阻碍综合肿瘤学会和美国临床肿瘤学会指南的实际实施，必须加以解决，以确保所有社区的公平疼痛管理。这些障碍包括，但不限于，许多补充疗法缺乏保险，补充疗法提供者的多样性和可用性有限，围绕补充疗法的负面社会规范，补充疗法临床研究中种族和族裔亚群体的代表性不足，以及缺乏针对不同个体的文化协调干预措施。这篇评论探讨了通过中西医结合治疗癌症疼痛的挑战和机会，以解决种族和民族的差异。
Racial and ethnic disparities in pain management pose major challenges to equitable cancer care delivery. These disparities are driven by complex interactions between patient-, provider-, and system-related factors that resist reductionistic solutions and require innovative, holistic approaches. On September 19, 2022, the Society for Integrative Oncology and the American Society of Clinical Oncology published a joint guideline to provide evidence-based recommendations on integrative medicine for cancer pain management. Integrative medicine, which combines conventional treatments with complementary modalities from cultures and traditions around the world, are uniquely equipped to resonate with diverse cancer populations and fill existing gaps in pain management. Although some complementary modalities, such as music therapy and yoga, lack sufficient evidence to make a specific recommendation, other modalities, such as acupuncture, massage, and hypnosis, demonstrated an intermediate level of evidence, resulting in moderate strength recommendations for their use in cancer pain management. However, several factors may hinder real-world implementation of the Society for Integrative Oncology and the American Society of Clinical Oncology guideline and must be addressed to ensure equitable pain management for all communities. These barriers include, but are not limited to, the lack of insurance coverage for many complementary therapies, the limited diversity and availability of complementary therapy providers, the negative social norms surrounding complementary therapies, the underrepresentation of racial and ethnic subgroups in the clinical research of complementary therapies, and the paucity of culturally attuned interventions tailored to diverse individuals. This commentary examines both the challenges and the opportunities for addressing racial and ethnic disparities in cancer pain management through integrative medicine.
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影响因子：
2
作者：
Cowen VS;Cyr V
通讯作者：
Cyr V
影响因子：
--
作者：
Bell, IR;Caspi, O;Weil, A
通讯作者：
Weil, A
影响因子：
6.2
作者：
Bauml, Joshua M.;Chokshi, Sagar;Mao, Jun J.
通讯作者：
Mao, Jun J.
影响因子：
--
作者：
Austin, Shamly;Ramamonjiarivelo, Zo;Ellis-Griffith, Gregory
通讯作者：
Ellis-Griffith, Gregory
影响因子：
--
作者：
Narayanan S;Lopez G;Liu W;Cohen A;Cohen L
通讯作者：
Cohen L